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Non-invasive tests for predicting liver outcomes in chronic hepatitis C patients: A systematic review and meta-analysis
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作者 Tanat Yongpisarn Chanattha Thimphitthaya +2 位作者 Passisd Laoveeravat Nicha Wongjarupong Roongruedee Chaiteerakij 《World Journal of Hepatology》 2021年第8期949-968,共20页
BACKGROUND Liver fibrosis leads to liver-related events in patients with chronic hepatitis C(CHC)infection.Although non-invasive tests(NITs)are critical to early detection of the development of liver fibrosis,the prog... BACKGROUND Liver fibrosis leads to liver-related events in patients with chronic hepatitis C(CHC)infection.Although non-invasive tests(NITs)are critical to early detection of the development of liver fibrosis,the prognostic role of NITs remains unclear due to the limited types of NITs and liver outcomes explored in previous studies.AIM To determine the prognostic value of NITs for risk stratification in CHC patients.METHODS The protocol was registered in PROSPERO(International Prospective Register of Systematic Reviews;no.CRD42019128176).The systematic review was performed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.Search was performed using MEDLINE and EMBASE databases under a timeframe from the inception of the databases through February 25,2020.We restricted our search to CHC cohort studies reporting an association between liver fibrosis assessed by NITs and the development of hepatocellular carcinoma,decompensation,or mortality.Pooled hazard ratios(HR)and area under the receiver operating characteristic(AUROC)for each NIT were estimated using a random effects model.Subgroup analyses were performed for NITs assessed at pre-treatment or post-treatment with sustained virologic response(SVR),treatment with either pegylated interferon and ribavirin or direct acting antiviral,Eastern or Western countries,and different cutoff points.RESULTS The present meta-analysis included 29 cohort studies,enrolling 69339 CHC patients.Fibrosis-4(FIB-4)index,aspartate aminotransferase to platelet ratio(APRI)score,and liver stiffness measurement(LSM)were found to have hepatocellular carcinoma predictive potential with pooled adjusted HRs of 2.48[95%confidence interval(CI):1.91-3.23,I2=96%],4.24(95%CI:2.15-8.38,I2=20%)and 7.90(95%CI:3.98-15.68,I2=52%)and AUROCs of 0.81(95%CI:0.73-0.89,I2=77%),0.81(95%CI:0.75-0.87,I2=68%),and 0.79(95%CI:0.63-0.96,I2=90%),respectively.Pooled adjusted HR with a pre-treatment FIB-4 cutoff of 3.25 was 3.22(95%CI:2.32-4.47,I2=80%).Pooled adjusted HRs for post-treatment with SVR FIB-4,APRI,and LSM were 3.01(95%CI:0.32-28.61,I2=89%),9.88(95%CI:2.21-44.17,I2=24%),and 6.33(95%CI:2.57-15.59,I2=17%),respectively.Pooled adjusted HRs for LSM in patients with SVR following direct acting antiviral therapy was 5.55(95%CI:1.47-21.02,I2=36%).Pooled AUROCs for post-treatment with SVR FIB-4 and LSM were 0.75(95%CI:0.55-0.95,I2=88%)and 0.84(95%CI:0.66-1.03,I2=88%),respectively.Additionally,FIB-4 and LSM were associated with overall mortality,with pooled adjusted HRs of 2.07(95%CI:1.49-2.88,I2=27%)and 4.04(95%CI:2.40-6.80,I2=63%),respectively.CONCLUSION FIB-4,APRI,and LSM showed potential for risk stratification in CHC patients.Cutoff levels need further validation. 展开更多
关键词 non-invasive tests Prognosis Hepatitis C virus Hepatocellular carcinoma MORTALITY Liver-related outcomes
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Non-invasive tests for the prediction of primary hepatocellular carcinoma 被引量:9
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作者 Giovanni Marasco Antonio Colecchia +9 位作者 Giovanni Silva Benedetta Rossini Leonardo Henry Eusebi Federico Ravaioli Elton Dajti Luigina Vanessa Alemanni Luigi Colecchia Matteo Renzulli Rita Golfieri Davide Festi 《World Journal of Gastroenterology》 SCIE CAS 2020年第24期3326-3343,共18页
Hepatocellular carcinoma(HCC)is one of the most common malignancies in the world and it is one of the main complications of cirrhosis and portal hypertension.Even in the presence of a well-established follow-up protoc... Hepatocellular carcinoma(HCC)is one of the most common malignancies in the world and it is one of the main complications of cirrhosis and portal hypertension.Even in the presence of a well-established follow-up protocol for cirrhotic patients,to date poor data are available on predictive markers for primary HCC occurrence in the setting of compensated advanced chronic liver disease patients(cACLD).The gold standard method to evaluate the prognosis of patients with cACLD,beyond liver fibrosis assessed with histology,is the measurement of the hepatic venous pressure gradient(HVPG).An HVPG≥10 mmHg has been related to an increased risk of HCC in cACLD patients.However,these methods are burdened by additional costs and risks for patients and are mostly available only in referral centers.In the last decade increasing research has focused on the evaluation of several,simple,non-invasive tests(NITs)as predictors of HCC development.We reviewed the currently available literature on biochemical and ultrasound-based scores developed for the noninvasive evaluation of liver fibrosis and portal hypertension in predicting primary HCC.We found that the most reliable methods to assess HCC risk were the liver stiffness measurement,the aspartate aminotransferase to platelet ratio index score and the fibrosis-4 index.Other promising NITs need further investigations and validation for different liver disease aetiologies. 展开更多
关键词 non-invasive test Fibrosis-4 index Hepatocellular carcinoma Liver stiffness measurement Spleen stiffness measurement Albi
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A Retrospective Analysis of Three Non-Invasive Tests for Initial Diagnosis of <i>Helicobacter pylori</i>Infection in Children
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作者 Tamaki Ikuse Takahiro Kudo +6 位作者 Naho Obayashi Keisuke Jimbo Yo Aoyagi Yoshikazu Ohtsuka Thomas G. Blanchard Steven J. Czinn Toshiaki Shimizu 《Advances in Microbiology》 2017年第4期253-264,共12页
Proper diagnosis in the pediatric population is required to eradicate Helicobacter pylori (H. pylori) and prevent gastric cancer. Our aim was to assess the performance of non-invasive tests to diagnose H. pylori infec... Proper diagnosis in the pediatric population is required to eradicate Helicobacter pylori (H. pylori) and prevent gastric cancer. Our aim was to assess the performance of non-invasive tests to diagnose H. pylori infection in pediatric patients. A retrospective analysis was performed on 141 pediatric patients requiring endoscopic evaluation and diagnostic tests for H. pylori infection to define the cause of abdominal symptoms. Non-invasive tests included the 13C-urea breath test (UBT), a monoclonal stool antigen test using enzyme-linked immuno-sorbent assay (mSAT), and a serum immunoglobulin G antibody test using antigens derived from Japanese individuals (S-Ab). This study investigated sensitivity, specificity, likelihood ratios for a positive and a negative test (LR+ and LR-), and accuracy of non-invasive tests, in comparison with invasive tests. Eighty two of 141 patients (58%) were recognized as H. pylori positive by invasive methods. When UBT, mSAT or S-Ab were analyzed, all were found to be effective over 94% accurate. Specificity ranged between 86.7% and 95.8%, and sensitivity ranged between 93.8% and 97.1%. When subjects were stratified into three distinct age groups, the best performance was achieved for 1-6 years old with mSAT at 100% for sensitivity, specificity, and accuracy. S-Ab yielded the best results for children 7-12 years old and the UBT test performed best for 13-18 years old. These results demonstrate the utility of UBT, mSAT, and S-Ab non-invasive tests in diagnosing H. pylori but suggest that certain tests may be optimal for children of distinct ages. Three non-invasive tests, UBT, mSAT and S-Ab showed sufficient sensitivity, specificity and accuracy for the initial diagnosis of H. pylori infection among pediatric patients. Non-invasive tests may contribute to achieving minimum invasive diagnosis with combining with a histological test and a culture test in children. 展开更多
关键词 Accuracy non-invasive tests Urea Breath test STOOL Antigen test Serum Antibody test
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Toward non-invasive assessment strategies in autoimmune hepatitis
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作者 David Jerez Diaz Patrick Twohig 《World Journal of Hepatology》 2025年第7期317-320,共4页
In this article,we comment on the article by Peta et al.This study evaluates the diagnostic performance of FibroTest-Actitest,transient elastography,and the fibrosis-4 index against a histological reference.Using the ... In this article,we comment on the article by Peta et al.This study evaluates the diagnostic performance of FibroTest-Actitest,transient elastography,and the fibrosis-4 index against a histological reference.Using the Obuchowski measure,the authors demonstrate that FibroTest and vibration-controlled transient elastography outperform the fibrosis-4 index in detecting fibrosis.Additionally,Actitest offers superior estimation of inflammatory activity compared to conventional biomarkers.Assessing liver fibrosis is crucial for managing autoimmune hepatitis(AIH),yet reliance on invasive liver biopsy remains higher than in other liver diseases.This is partly due to more complex diagnostic criteria for AIH,the lack of standardized scoring for non-invasive testing,and the presence of inflammation,which can lead to falsely elevated results with non-invasive tests.A Bayesian latent class model further supports the reliability of these non-invasive tests,highlighting their potential to complement biopsy,particularly for longterm disease monitoring.These findings underscore the importance of noninvasive diagnostics in optimizing AIH management. 展开更多
关键词 Autoimmune hepatitis non-invasive test Liver biopsy Fibrotest Actitest Transient elastography Fibrosis-4 index
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Clinical utility of non-invasive tests to predict clinical outcomes in non-alcoholic fatty liver disease
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作者 Shi Yan Lee Darren J.H.Tan +3 位作者 Wen Hui Lim Cheng Han Ng Mark Muthiah Daniel Q.Huang 《Hepatobiliary Surgery and Nutrition》 SCIE 2023年第6期916-918,共3页
Non-alcoholic fatty liver disease(NAFLD)is the leading cause of chronic liver disease,and the fastest-growing cause of hepatocellular carcinoma(HCC)worldwide(1,2).As the number of people with NAFLD is too great to per... Non-alcoholic fatty liver disease(NAFLD)is the leading cause of chronic liver disease,and the fastest-growing cause of hepatocellular carcinoma(HCC)worldwide(1,2).As the number of people with NAFLD is too great to perform surveillance in all,risk-stratification strategies are increasingly important to identify those at the highest risk of decompensation and HCC(3,4). 展开更多
关键词 Non-alcoholic fatty liver disease(NAFLD) non-invasive tests fibrosis-4(FIB-4) vibration-controlled transient elastography(VCTE) clinical outcomes
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Model tests and numerical analysis of emergency treatment of cohesionless soil landslide with quick-setting polyurethane 被引量:1
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作者 ZHANG Zhichao TANG Xuefeng +2 位作者 HUANG Rufa CAI Zhenjie GAO Anhua 《Journal of Mountain Science》 2025年第1期110-121,共12页
Shotcrete is one of the common solutions for shallow sliding.It works by forming a protective layer with high strength and cementing the loose soil particles on the slope surface to prevent shallow sliding.However,the... Shotcrete is one of the common solutions for shallow sliding.It works by forming a protective layer with high strength and cementing the loose soil particles on the slope surface to prevent shallow sliding.However,the solidification time of conventional cement paste is long when shotcrete is used to treat cohesionless soil landslide.The idea of reinforcing slope with polyurethane solidified soil(i.e.,mixture of polyurethane and sand)was proposed.Model tests and finite element analysis were carried out to study the effectiveness of the proposed new method on the emergency treatment of cohesionless soil landslide.Surcharge loading on the crest of the slope was applied step by step until landslide was triggered so as to test and compare the stability and bearing capacity of slope models with different conditions.The simulated slope displacements were relatively close to the measured results,and the simulated slope deformation characteristics were in good agreement with the observed phenomena,which verifies the accuracy of the numerical method.Under the condition of surcharge loading on the crest of the slope,the unreinforced slope slid when the surcharge loading exceeded 30 k Pa,which presented a failure mode of local instability and collapse at the shallow layer of slope top.The reinforced slope remained stable even when the surcharge loading reached 48 k Pa.The displacement of the reinforced slope was reduced by more than 95%.Overall,this study verifies the effectiveness of polyurethane in the emergency treatment of cohesionless soil landslide and should have broad application prospects in the field of geological disasters concerning the safety of people's live. 展开更多
关键词 Cohesionless soil landslide POLYURETHANE Emergency treatment Reinforcement effect Model test Finite element analysis
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Future of non-invasive graft evaluation:A systematic review of proteomics in kidney transplantation
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作者 Eleni Avramidou Konstantina Psatha +2 位作者 Kallisti St John Georgios Tsoulfas Michalis Aivaliotis 《World Journal of Transplantation》 2025年第1期135-149,共15页
BACKGROUND Despite the developments in the field of kidney transplantation,the already existing diagnostic techniques for patient monitoring are considered insufficient.Protein biomarkers that can be derived from mode... BACKGROUND Despite the developments in the field of kidney transplantation,the already existing diagnostic techniques for patient monitoring are considered insufficient.Protein biomarkers that can be derived from modern approaches of proteomic analysis of liquid biopsies(serum,urine)represent a promising innovation in the monitoring of kidney transplant recipients.AIM To investigate the diagnostic utility of protein biomarkers derived from proteomics approaches in renal allograft assessment.METHODS A systematic review was conducted in accordance with PRISMA guidelines,based on research results from the PubMed and Scopus databases.The primary focus was on evaluating the role of biomarkers in the non-invasive diagnosis of transplant-related com-plications.Eligibility criteria included protein biomarkers and urine and blood samples,while exclusion criteria were language other than English and the use of low resolution and sensitivity methods.The selected research articles,were categorized based on the biological sample,condition and methodology and the significantly and reproducibly differentiated proteins were manually selected and extracted.Functional and network analysis of the selected proteins was performed.RESULTS In 17 included studies,58 proteins were studied,with the cytokine CXCL10 being the most investigated.Biological pathways related to immune response and fibrosis have shown to be enriched.Applications of biomarkers for the assessment of renal damage as well as the prediction of short-term and long-term function of the graft were reported.Overall,all studies have shown satisfactory diagnostic accuracy of proteins alone or in combination with conventional methods,as far as renal graft assessment is concerned.CONCLUSION Our review suggests that protein biomarkers,evaluated in specific biological fluids,can make a significant contribution to the timely,valid and non-invasive assessment of kidney graft. 展开更多
关键词 PROTEOMICS Kidney transplantation Graft evaluation non-invasive diagnosis Kidney graft function
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Advancements in non-invasive diagnosis of gastric cancer
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作者 Zhen Wang Qi Wu 《World Journal of Gastroenterology》 2025年第6期14-19,共6页
Gastric cancer(GC),a multifaceted and highly aggressive malignancy,represents challenging healthcare burdens globally,with a high incidence and mortality rate.Although endoscopy,combined with histological examination,... Gastric cancer(GC),a multifaceted and highly aggressive malignancy,represents challenging healthcare burdens globally,with a high incidence and mortality rate.Although endoscopy,combined with histological examination,is the gold stan-dard for GC diagnosis,its high cost,invasiveness,and specialized requirements hinder widespread use for screening.With the emergence of innovative techno-logies such as advanced imaging,liquid biopsy,and breath tests,the landscape of GC diagnosis is poised for radical transformation,becoming more accessible,less invasive,and more efficient.As the non-invasive diagnostic techniques continue to advance and undergo rigorous clinical validation,they hold the promise of sig-nificantly impacting patient outcomes,ultimately leading to better treatment results and improved quality of life for patients with GC. 展开更多
关键词 Gastric cancer non-invasive DIAGNOSIS IMAGING PROGNOSIS
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Comparison of the Statistical Power of Siegel-Tukey and Savage Tests: A Study with Monte Carlo Simulation
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作者 Elnur Hasan Mikail HakanÇora Sahib Ramazanov 《Economics World》 2025年第2期95-105,共11页
This study presents the results of a Monte Carlo simulation to compare the statistical power of Siegel-Tukey and Savage tests.The main purpose of the study is to evaluate the statistical power of both tests in scenari... This study presents the results of a Monte Carlo simulation to compare the statistical power of Siegel-Tukey and Savage tests.The main purpose of the study is to evaluate the statistical power of both tests in scenarios involving Normal,Platykurtic and Skewed distributions over different sample sizes and standard deviation values.In the study,standard deviation ratios were set as 2,3,4,1/2,1/3 and 1/4 and power comparisons were made between small and large sample sizes.For equal sample sizes,small sample sizes of 5,8,10,12,16 and 20 and large sample sizes of 25,50,75 and 100 were used.For different sample sizes,the combinations of(4,16),(8,16),(10,20),(16,4),(16,8)and(20,10)small sample sizes and(10,30),(30,10),(50,75),(50,100),(75,50),(75,100),(100,50)and(100,75)large sample sizes were examined in detail.According to the findings,the power analysis under variance heterogeneity conditions shows that the Siegel-Tukey test has a higher statistical power than the other nonparametric Savage test at small and large sample sizes.In particular,the Siegel-Tukey test was reported to offer higher precision and power under variance heterogeneity,regardless of having equal or different sample sizes. 展开更多
关键词 nonparametric test statistical power Siegel-Tukey test Savage test Monte Carlo simulation
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Intelligent perception of kinematic information for a flip-flow screening system based on non-invasive measurement
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作者 Weinan Wang Chenlong Duan +4 位作者 Songxue Zhang Jiahao Pan Xu Hou Pengfei Mao Tatiana Aleksandrova 《International Journal of Minerals,Metallurgy and Materials》 2025年第6期1322-1330,共9页
Flip-flow screens offer unique advantages in grading fine-grained materials.To address inaccuracies caused by sensor vibra-tions in traditional contact measurement methods,we constructed a non-invasive measurement sys... Flip-flow screens offer unique advantages in grading fine-grained materials.To address inaccuracies caused by sensor vibra-tions in traditional contact measurement methods,we constructed a non-invasive measurement system based on electrical and optical sig-nals.A trajectory tracking algorithm for the screen-body was developed to visually measure the kinematics.Employing the principle oflaser reflection for distance measurement,optical techniques were performed to capture the kinematic information of the screen-plate.Ad-ditionally,by using Wi-Fi and Bluetooth transmission of electrical signals,tracer particle tracking technology was implemented to elec-trically measure the kinematic information of mineral particles.Consequently,intelligent fusion and perception of the kinematic informa-tion for the screen-body,screen-plate,and particles in the screening system have been achieved. 展开更多
关键词 non-invasive measurement intelligent perception flip-flow screening system kinematic information
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Effectiveness of non-invasive interventions for internet gaming disorder:A meta-analysis of randomized controlled trials
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作者 Haewon Byeon 《World Journal of Psychiatry》 2025年第11期392-404,共13页
BACKGROUND Internet gaming disorder(IGD)is a growing concern among adolescents and adults,necessitating effective treatment strategies beyond pharmacological interventions.AIM To evaluated the effectiveness of non-inv... BACKGROUND Internet gaming disorder(IGD)is a growing concern among adolescents and adults,necessitating effective treatment strategies beyond pharmacological interventions.AIM To evaluated the effectiveness of non-invasive interventions for treating IGD among adolescents and adults.METHODS A total of 11 randomized controlled trials published between 2020 and 2025 were included in this meta-analysis,encompassing 1208 participants from diverse geographic and cultural contexts.The interventions examined included cognitive behavioral therapy(CBT),internet-based CBT,neurofeedback,virtual reality therapy,abstinence-based programs,and school-based prevention.The primary outcomes assessed were reductions in gaming time and IGD severity.Secondary outcomes included improvements in mood,anxiety,and psychosocial functioning(e.g.,stronger peer relationships,better academic or work performance,and healthier daily-life role fulfillment).RESULTS The pooled standardized mean difference for IGD symptom reduction significantly favored non-invasive interventions(Hedges’g=0.56,95%CI:0.38-0.74,P<0.001),with moderate heterogeneity observed(I2=47%).Subgroup analyses indicated that CBT-based programs,both in-person and online,yielded the strongest effects,particularly when caregiver involvement or self-monitoring was incorporated.Funnel plot asymmetry was minimal,suggesting a low risk of publication bias.CONCLUSION These findings support the efficacy of scalable,low-risk non-invasive interventions as first-line treatment options for IGD,particularly in youth populations.Future studies should prioritize investigating long-term outcomes,comparing the effectiveness of different non-invasive modalities,and developing culturally adaptive delivery methods. 展开更多
关键词 Internet gaming disorder Cognitive behavioral therapy Virtual reality non-invasive intervention META-ANALYSIS Digital addiction
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Adaptive terminal sliding combined super twisting control design and flight tests for automatic carrier landing system
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作者 Zhuoer YAO Daochun LI +1 位作者 Zi KAN Jinwu XIANG 《Chinese Journal of Aeronautics》 2025年第4期437-449,共13页
Considering the challenges posed by external disturbances on carrier-based aircraft land-ing control,higher demands are required for the precision and convergence of the carrier landingcontrol system.First,this paper ... Considering the challenges posed by external disturbances on carrier-based aircraft land-ing control,higher demands are required for the precision and convergence of the carrier landingcontrol system.First,this paper proposes an Adaptive Terminal Sliding Combined Super TwistingControl(ATS-STC)method to address the issues of low precision,slow convergence,and poor dis-turbance rejection capability resulting from external disturbances,such as carrier air-wake and deckmotion.By introducing a nonlinear term into the sliding surface and employing an integralapproach,the proposed ATS-STC method can ensure finite-time convergence and mitigate the chat-tering problem.An adaptive law is also utilized to estimate the external disturbances,therebyenhancing the anti-disturbance performance.Then,the stability and convergence time analysis ofthe designed controller are conducted.Based on the proposed method,an Automatic Carrier Land-ing System(ACLS)is developed to perform the carrier landing control task.Furthermore,a multi-dimensional validation is carried out.For the numerical simulation test,the Terminal Sliding ModeControl(TSMC)method and Proportion Integration Differentiation(PID)method are introducedas comparison,the quantitative assessment results show that the tracking error of TSMC and PIDcan reach 1.5 times and 2 times that of the proposed method.Finally,the Hardware-in-the-Loop(HIL)test and real flight test are conducted.All the experimental results demonstrate that the pro-posed control method is more effective and precise. 展开更多
关键词 Terminal sliding mode control Super twisting control Automatic carrier landing system Numerical methods Hardware-in-the-loop test Flight test
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Quantitative characterization of the multiscale mechanical properties of low‑permeability sandstone roofs of coal seams based on nanoindentation and triaxial tests and its implications for CO_(2) geological sequestration
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作者 Feng Cao Jianhua He +5 位作者 Hongxiu Cao Hucheng Deng Andrew D.La Croix Rui Jiang Ruixue Li Jiarun Li 《International Journal of Coal Science & Technology》 2025年第1期125-151,共27页
Microstructural heterogeneity of low-permeability sandstone roofs of deep unmineable coal seams due to diagenesis significantly affects rock mechanical behavior,greatly impacting the sealing potential of in situ CO_(2... Microstructural heterogeneity of low-permeability sandstone roofs of deep unmineable coal seams due to diagenesis significantly affects rock mechanical behavior,greatly impacting the sealing potential of in situ CO_(2) sequestration and the structural stability of the geological formation.However,little is known about how the microstructure of different mineral groups influences the multiscale mechanical behavior of deep sandstone.This study proposes a new method for quantitatively characterizing the multiscale mechanical properties of low-permeability sandstone and shows the mechanisms responsible for mechanical failure at the micro-,meso-,and macroscale.Triaxial compression tests and targeted nanoindentation tests were conducted to assess the micro-and macroscale mechanical properties of different types of sandstone.The micro-and macroscale experiments were coupled with numerical simulations of compression using a unified cohesive model based on Voronoi polygons to clarify the multiscale mechanical behavior.The results indicate that quartz,the primary mineral component of the sandstones examined,exhibits the strongest micromechanical properties,followed by feldspar,calcite,and clay minerals.Compared to polycrystalline quartz,monocrystalline quartz has a more stable microstructure and is mechanically stronger.The macro-mechanical properties of tight sandstone samples are weakened by increased microstructural inhomogeneity and larger grain size.This leads to a higher likelihood of splitting damage,characterized by a high degree of discrete and weak stress sensitivity.The major conclusion is that the positive rhythm lithofacies of medium-grained sandstone to siltstone are the most favorable for efficient CO_(2) sequestration in deep unmineable coal seams. 展开更多
关键词 Low-permeability sandstone roofs of coal seams Triaxial test Nanoindentation test Mechanical properties Fracture mechanical behavior CO_(2)sequestration
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Relationship Between Gene-Phenotype and Clinical Manifestations of Chromosomal Copy Number Variations Indicated by Non-Invasive Prenatal Testing
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作者 Zixin Pi Xiaoyan Duan +1 位作者 Jing Peng Yanhui Liu 《Journal of Clinical and Nursing Research》 2024年第1期88-95,共8页
Objective:To analyze the clinical value of non-invasive prenatal testing(NIPT)in detecting chromosomal copy number variations(CNVs)and to explore the relationship between gene expression and clinical manifestations of... Objective:To analyze the clinical value of non-invasive prenatal testing(NIPT)in detecting chromosomal copy number variations(CNVs)and to explore the relationship between gene expression and clinical manifestations of chromosomal copy number variations.Methods:3551 naturally conceived singleton pregnant women who underwent NIPT were included in this study.The NIPT revealed abnormalities other than sex chromosome abnormalities and trisomy 13,18,and 21.Pregnant women with chromosome copy number variations underwent genetic counseling and prenatal ultrasound examination.Interventional prenatal diagnosis and chromosome microarray analysis(CMA)were performed.The clinical phenotypes and pregnancy outcomes of different prenatal diagnoses were analyzed.Additionally,a follow-up was conducted by telephone to track fetal development after birth,at six months,and one year post-birth.Results:A total of 53 cases among 3551 cases showed chromosomal copy number variation.Interventional prenatal diagnosis was performed in 36 cases:27 cases were negative and 8 were consistent with the NIPT test results.This indicates that NIPT’s positive predictive value(PPV)in CNVs is 22.22%.Conclusion:NIPT has certain clinical significance in screening chromosome copy number variations and is expected to become a routine screening for chromosomal microdeletions and microduplications.However,further interventional prenatal diagnosis is still needed to identify fetal CNVs. 展开更多
关键词 non-invasive prenatal testing Chromosomal copy number variation Chromosomes 1 and 3 Chromosome 4 Chromosome 7 Chromosome 15 Prenatal diagnosis
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Temperature effects on strain distribution of reduced-activation ferritic/martensitic steel during tensile tests
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作者 Shang-Ming Chen Cheng-Jun Zhu +6 位作者 Yi-Fan Shi Lei Peng Jing-Yi Shi Yong-Jie Sun Ye-Shang Hu Yi-Fei Liu Zhen-Yu Wei 《Nuclear Science and Techniques》 2025年第6期109-122,共14页
The reduced-activation ferritic/martensitic(RAFM)steel CLF-1 has been designed as a candidate structural material for nuclear fusion energy reactors.For engineering mechanical design,the effects of temperature on the ... The reduced-activation ferritic/martensitic(RAFM)steel CLF-1 has been designed as a candidate structural material for nuclear fusion energy reactors.For engineering mechanical design,the effects of temperature on the strain distribution of CLF-1 steel during uniaxial tensile tests were explored within the temperature range from room temperature to 650°C using uniaxial tensile tests combined with in situ digital image correlation analysis.Strain-concentrated regions alternately distributed±45°along the tensile direction could be attributed to the shear stress having the maximum value at±45°along the tensile direction and the coordinated deformation of the microstructure.The total strain distribution changed from a normal distribution to a lognormal distribution with increasing deformation owing to the competition between the elastic and plastic strains at all test temperatures.Strain localization has a strong relationship with temperature at the same engineering strain because of the temperature effects on dynamic strain aging(DSA).The stronger the DSA effect,the stronger the strain localization.With increasing temperature,the stronger the strain localization at the same strain,the weaker the plasticity,that is,DSA-induced embrittlement,and the slower the strength decline,that is,DSA-induced hardening. 展开更多
关键词 RAFM steel Tensile test Strain distribution Temperature effect
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Experimental and Numerical Study on the Load-Displacement Curves of Uplift Piles Embedded in Marine Sedimentary Soft Soil via Piezocone Penetration Tests
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作者 WU Meng LIU Dong-ming +3 位作者 ZHAO Ze-ning WANG Cai-jin CAI Guo-jun DUAN Wei 《China Ocean Engineering》 2025年第2期316-328,共13页
With the increasing construction of port facilities,cross-sea bridges,and offshore engineering projects,uplift piles embedded in marine sedimentary soft soil are becoming increasingly necessary.The load-displacement c... With the increasing construction of port facilities,cross-sea bridges,and offshore engineering projects,uplift piles embedded in marine sedimentary soft soil are becoming increasingly necessary.The load-displacement curve of uplift piles is crucial for evaluating their uplift bearing characteristics,which facilitates the risk evaluation,design,and construction of large infrastructural supports.In this study,a load-displacement curve model based on piezocone penetration test(CPTU)data is proposed via the load transfer method.Experimental tests are conducted to analyze the uplift bearing characteristics and establish a correlation between the proposed model and CPTU data.The results of the proposed load-displacement curve are compared with the results from numerical simulations and those calculated by previous methods.The results show that the proposed curves appropriately evaluated the uplift bearing characteristics and improved the accuracy in comparison with previous methods. 展开更多
关键词 uplift pile load-displacement curve piezocone penetration test
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Improving the Antifouling Properties of CTD During the Marine Field Tests:The Use of CAP@MMT Modified with Acid
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作者 CHE Yachen WEI Lianxue +2 位作者 DIAO Yaqi JIA Wenjuan LI Hongzhi 《Journal of Ocean University of China》 2025年第3期685-694,共10页
The use of antifouling agents is suggested to be a promising method for protecting oceanic instruments from biological contamination.We developed a novel antifouling material doped with capsaicin(CAP)as a filler and m... The use of antifouling agents is suggested to be a promising method for protecting oceanic instruments from biological contamination.We developed a novel antifouling material doped with capsaicin(CAP)as a filler and montmorillonite(MMT)as a carrier for the practical application of CTD(conductivity,temperature,depth)protection.The optimal parameters for preparing the material were established,and the obtained material achieved the maximum CAP loading capacity of 32.74%.The proposed material exhibited great release properties in acidic environments,which is beneficial for reducing bacterial attachment.Furthermore,the optimal conditions(temperature,flow rate,and pressure in the aquatic environment)for a better release rate of the material were determined through a series of simulation tests in lab.It provided good guidance and basis for practical application of the material.The CAP@MMT composite showed excellent efficiency and effectiveness in preventing the attachment of microorganisms during the four-month marine field tests.In the subsequent experiments,the great properties of the antifouling material were further confirmed by retesting the conductivity of four instruments participating in marine field tests.The measuring errors of CTD protected by the antifouling material are both within 0.01 mS/cm,which is far lower than that of the other two instruments. 展开更多
关键词 marine fouling antifouling agent CAP@MMT PH-DEPENDENT marine field tests
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Exploring the Effectiveness of a Rapid Diagnostic Kit for Identifying Snake Venom Types in Blood Tests
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作者 Linfeng Zheng Ming Liu +1 位作者 Ying Gao Biao Wu 《Journal of Clinical and Nursing Research》 2025年第4期110-115,共6页
Objective:To develop a rapid diagnostic kit for identifying snake venom types,aimed at providing a basis for clinical diagnosis and laying a foundation for early treatment through quick blood testing of injured patien... Objective:To develop a rapid diagnostic kit for identifying snake venom types,aimed at providing a basis for clinical diagnosis and laying a foundation for early treatment through quick blood testing of injured patients.Methods:Anti-snake venom immunoglobulin(IgG)was prepared,biotinylated specific IgG was screened,detection enzyme-labeled strips were produced,and rapid identification of snakebites was performed.Pre-experimental verification was conducted to establish standard curves and confirm specificity.The kit was tested on clinical samples and the results were analyzed.Repeatability and stability were evaluated through multiple repeated tests and experiments under different storage conditions.Finally,sensitivity and specificity were calculated,receiver operating characteristic curves(ROC curves)were drawn,and statistical analysis software was used for data analysis to ensure the reliability and effectiveness of the kit.Results:The test showed high sensitivity and specificity.Conclusion:The rapid diagnostic kit for identifying snake venom types in blood tests demonstrates high reliability and effectiveness in clinical diagnosis. 展开更多
关键词 Blood test Snake venom types Rapid diagnostic kit
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Landslide model tests with a miniature 2D principal stress sensor
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作者 Kun Fang Yulei Fu +3 位作者 Huiming Tang Tangzhe Gao Pengju An Qiong Wu 《Journal of Rock Mechanics and Geotechnical Engineering》 2025年第1期94-105,共12页
Understanding the stress distribution derived from monitoring the principal stress(PS)in slopes is of great importance.In this study,a miniature sensor for quantifying the two-dimensional(2D)PS in landslide model test... Understanding the stress distribution derived from monitoring the principal stress(PS)in slopes is of great importance.In this study,a miniature sensor for quantifying the two-dimensional(2D)PS in landslide model tests is proposed.The fundamental principle and design of the sensor are demonstrated.The sensor comprises three earth pressure gages and one gyroscope,with the utilization of three-dimensional(3D)printing technology.The difficulties of installation location during model preparation and sensor rotation during testing can be effectively overcome using this sensor.Two different arrangements of the sensors are tested in verification tests.Additionally,the application of the sensor in an excavated-induced slope model is tested.The results demonstrate that the sensor exhibits commendable performance and achieves a desirable level of accuracy,with a principal stress angle error of±5°in the verification tests.The stress transformation of the slope model,generated by excavation,is demonstrated in the application test by monitoring the two miniature principal stress(MPS)sensors.The sensor has a significant potential for measuring primary stress in landslide model tests and other geotechnical model experiments. 展开更多
关键词 LANDSLIDE Model test Principal stress(PS) Stress measurement
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Analysis of corrugation evolution characteristics based on scale-down tests-contact stick-slip perspective
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作者 Zhiqiang Wang Pengfei Liu 《Railway Sciences》 2025年第3期308-321,共14页
Purpose-Rail corrugation is still one of the unsolved challenges in the railway industry,and the abnormal vibration and high-frequency noise caused by it constitute serious adverse effects on the operating environment... Purpose-Rail corrugation is still one of the unsolved challenges in the railway industry,and the abnormal vibration and high-frequency noise caused by it constitute serious adverse effects on the operating environment.How to control corrugation has been an important research theme,and understanding corrugation evolution features is the necessary prerequisite.This study aims to investigate the specific evolution characteristics of corrugation from the contact stick-slip perspective.Design/methodology/approach-The formation and development processes of corrugation are analyzed by using a self-designed scale-down test device.Specifically,the contact stick-slip characteristics under different creepage conditions are analyzed and the formation mechanism of corrugation is summarized.On the basis of corrugation formation,the trend of corrugation development is further emphasized to completely describe the whole process of corrugation evolution.Findings-The results show that,under the determined vertical load condition,the contact interface appears the creep force-creepage negative slope phenomenon in the transverse direction.The cause of short-pitch corrugation on the rail wheel surface under the smaller angles of attack may be related to the inherent vibration frequency of the test device,and the cause of corrugation on the rail wheel surface under the larger angles of attack is mainly related to the stick-slip vibration induced by contact creep saturation.Originality/value-This research explores the evolution characteristics of corrugation by adopting a selfdesigned scale-down test device,and elucidates the mechanism of corrugation in detail. 展开更多
关键词 CORRUGATION Scale-down test Contact stick-slip Evolution process Angle of attack
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